Thoracoscopic findings and surgical management of catamenial hemopneumothorax.

Yoshio Tsunezuka, Makoto Oda, Hideki Moriyama, Masahiro Ohshima, Hiroshi Kurumaya
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2006 · vol. 12(3) , pp. 197–9 · PMID:16823334 · W2122176824
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study investigated thoracoscopic findings of diaphragmatic fenestrations and pleural nodules in a patient with catamenial hemopneumothorax, leading to nodule resection and mechanical/chemical pleurodesis.

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Abstract

A 43-year-old woman had experienced recurrent right pneumothoraces at the beginning of her menstrual period. Thoracoscopically, multiple small fenestrations were widely found over the tendinous part of the diaphragm. Multiple purple colored nodules were seen on the visceral surface of upper lobe containing intralobar lesions, and about 100 ml blood was pooled in the thoracic space. We performed a video-assisted thoracoscopic resection of the pleural nodule suspected to be the cause of the hemothoraces. Histologically, the resected nodule had intra-alveolar hemorrhage not seen in common endometriosis. Pleurodesis with mechanical abrasion of parietal pleura and the diaphragm was performed. Chemical pleurodesis, with minocycline hydrochloride and distilled water was applied.

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Condition tags

endometriosis

MeSH descriptors

Hemopneumothorax Pleurodesis Thoracic Surgery, Video-Assisted Adult Female Hemopneumothorax Hemopneumothorax Hemopneumothorax Humans Lung Lung Lung Menstrual Cycle Minocycline Minocycline

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